Individual
JEAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-7808
Mailing address
188 N MIDDLETOWN RD, NANUET, NY 10954-1318
(845) 480-4010
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
629994
NY
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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